HomeMy WebLinkAbout09-21-07
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF CUMBERLAND
COUNTY, PENNSYLVANIA
Estate of LARRY E. LEHMER
also known as
File Number
a\ Ol O~~
, Deceased
Social Security Number 195-32-1465
Petitioner(s), who is/are 18 years of age or older, apply(ies) for:
(COMPLETE 'A' OR 'B' BELOW:)
00 A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is / are the EXECUTRIX
last Will of the Decedent dated 1/11/2001 and codicil(s) dated
DOUGLAS SCOTT LEHMER - RENOUNCED
ERIC TODD LEHMER - RENOUNCED
named in the
Continued on a Separate Page
(State relevant circumstances, e.g., renunciation, death of executor, etc.)
Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s) offered
for probate, was not the victim of a killing and was never adjudicated an incapacitated person: NON E
o B. Grant of Letters of Administration
(If applicable, enter: c.t.a.; d.b.n.c.t.a.; pendente lite; durante absentia; durante minoritate)
Petitioner(s) after a proper search has / have ascertained that Decedent left no Will and was survived by the following spouse (if a~nd heirs:(ij'
Administration, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.) ~ . '. .
o ('<I
Name
Relationshi
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(COMPLETE IN ALL CASES:) Attach additional sheets ifnecessary.
Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his / her last principal residence at 208
SENATE AVENUE CAMP HILL PA 17011 EAST PENNSBORO CUMBERLAND
(List street address, town/city, township, county, state, zip code)
Decedent, then 66 years of age, died on 6/6/2007
111 SOUTH FRONT STREET
at HARRISBURG HOSPITAL
HARRISBURG
PA 17101
Decedent at death owned property with estimated values as follows:
(If domiciled in P A) All personal property
(If not domiciled in PA) Personal property in Pennsylvania
(If not domiciled in P A) Personal property in County
Value ofreal estate in Pennsylvania
$
$
$
$
10.000.00
0.00
0.00
0.00
situated as follows:
Wherefore. Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of Letters in the appropriate form to
the undersigned:
Signature
Typed or printed name and residence
DEBRA LYNN DEVLIN
1710 LETCHWORTH ROAD CAMP HILL
PA 17011
Form RW-02 rev. 10.13.06
Page 1 of2
Oath of Personal Representative
COMMONWEALTH OF PENNSYL VANIA
SS
COUNTY OF CUMBERLAND
The Petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing Petition are true and correct to the best of
the knowledge and belief ofPetitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly
administer the estate according to law.
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Sworn to or affirmed and subscribed
before me the ~ day of
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Signature of Personal Representative
Signature of Personal Representative
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File Number:
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Estate of LARRY E. LEHMER
, Deceased
Social Security Number: 195-32-1465 Date of Death: 6/6/2007
AND NOW, <l>Ao~om~\... at \ ~/, in consideration of the foregoing Petition, satisfactory proof
having been presented before me, IT IS DECREED that Letters TESTAMENTARY
are hereby granted to DEBRA LYNN DEVLIN
in the above estate
and that the instrument(s) dated 01/11/2001
described in the Petition be admitted to probate and filed of record as the last~ll. (and Codici
FEES ~
Letters ........./.01.0.0.0.... $ i.tS
Short Certificate(s) ...~..... $ 3~
Renunciation(s) .......a..... $ \ D
\ ~\ \ \ $ \ ~
.Jc5? $ \0
~\v $ S-
$
$
$
$
$
$
TOTAL ............................. $ _h-,
~p
Attorney Signature:
Attorney Name:
DAVID H. STONE. ESQUIRE
Supreme Court J.D. No.: #39785
Address:
414 BRIDGE STREET
NEW CUMBERLAND
PA
17070
Telephone:
717-774-7435
FormRW-02 rev. 10.13.06
Page 2 of2
H105.X05 REV 1011(7)
LOCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: It is illegal to duplicate this copy by photostat or photograph.
Fee for this certificate, $6.00
P 13550221
Certification Number
This is to certify that the information here given is
correctly copied from an original Certificate of Death
duly filed with me as Local Registrar. The original
certificate will be forwarded to the State Vital
Records Office for permanent filing.
~ /J; ~JUN 082007
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Local Registrar r-' Date Issued
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REV 1112006
PRINT IN
4ANENT
~INK
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS
CERTIFICATE OF DEATH
(See Instructions and examples on reverse)
3. Social Securlty Number
195 -32
1. Nomeol_(Arst. m_.Ias1. suIIIx)
Larry E. Lehmer
5. Age (Last Birthday)
6.llaIeofBirlh Monlh. ,
Jan.22,1941
66
Vrs.
!d. FaciiIy Name (~""_. give street and number)
Harrisburg Hosp.
13. Decedent. Educ8tlon (Spedfy only highos1 grade <:Ol1lpieled)
Elementary 1 Secondary (0-12) CoIiego (1-4 or 5+)
12
00ltler . Specify;
10. RIce: American Indian. Black, White, etc.
&~e
14. Marital Status: MarrIed. Never Married,
W_, Olvoo:ed (Spocif)1
ivorced
Did Decedenl
Liveina
T""""",1
Decedonf.
Aclu8IR_ 170.StaIe PA
17b.COla1ty Cumberland
19._f. Nome (FIrst. -.!!"'!!ler1 aumamo)
Helen McAllister
P~nnQhnrn
17c.1XI Vas, _ Lived in ~
17d.o No. _ Lived_
Aclu8ILinlIlaol
T.".
City 1 Born
2Ctl. 1_' MaJlngAddtesa (Snet. cIIy 11oWn. _. zip codel
1710 Letchworth nd. Camp Hill, PA 17011
21c.PIoceol~(Nomeol_._or_pIaco)
Evans Cremation~Service
. ~
~_23HonIy_CIllIIying
~ianol_..1Imt0l_to
CIl1IyCllU8lol_.
:
IlIma 24-26 must be """'PloIId by person
who pronounc88 do"'\.
01.., knowledga, death 0CCUIl8d.. 1he lime. da" and place stated. (Sipture and title)
22,. Name andAddtesa 01 FIICiIilL
Musselman FH&CS Inc.324Hummel Ave.Lemoyne,PA
23b. Licon.. Number
230. Date Signed (MonlI1. day, j90~
321. ~ T~ lnjurf (SpecHy)
oOriYerIOporator oPaasanger oP-
M. 0Itler.~
33a.Co<1ifler(_onIyooej :.Signelunlandl1lleolC8I11f1er ('
. =:. ':r:""~==:"~the~"':"''':=::~-~~ ~~~ ~~ ~ _ ___ _ _ __ ___ ___ ___ 0 .. ..,.v
~O::=~=:"N~::=loto'::~~menner..-"_________________ 0
. ::':.:- ~ and 1 Of inveatlgallon.ln .., opinion, _ _ ot the timo. date. and pleca. and due to the ceusa(.) and monner as ,late<L 0
, Approximateinterval:
I Onset 10 Death
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~lisI.condUons,ilany.
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Due 10 (or as a consequeoce of):
Due 10 (or as a consequeoce of):
308. Was an "-
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301>. W.re"'- FIlldIngs
"'_ ""'" to Comp4eIIon
01 Ceusa 01 Death?
31. Memer 01 Death
~NoIunIl D-
O -. 0 Pending IrTI8S1igation
o SuicIde 0 Cou<d Not be ~ned
32d. Tme 01 Injurf
oVas ~No
oVas oNo
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n;.nnoJ"""""~'No -n 11'7\ D-5'
35. Registrar's $9'Iature a
~
26. Was Case ~ 10 MedIcal ElC&miner I Coroner for a Reason Other Ihan Cf8fl'IEltlon or Donation?
oVes jJ5J..No
Plrt II: Enter other 5IaniIIcant condIIions mnI!IIl.6'Ia to dRath, 28. Did TobIcco Use Contrtlute 10 Death?
butnolraaulllnginlheunderlylngC8US8Ii'onInP'rtl. 0 Vas oProbebly
oNo oUnkroowI'I
29.~_:
o Not ~ within pest year
o PT<gnanlollimeoldealh
o Not~, but Pr8g1an1 within 42 days
ol_
D Not_I, but pregnant 43 days 10 1 year
beloredaalh
o _.~w<thIn1hepestyear
320. =~=::"i~ Street, Fadorv.
32g. LacatIan 01 Injury (Street. city Ilown. -l
--
LAST WILL AND TESTAMENT
I, Larry E Lehmer
, a resident of Harrisburg , County of
Dauphin
State of Pennsylvania, bein~ of sound and disposing mind, memory, and
understanding, do hereby make, publish, an~ declare this to be my Last
l~ill and Testament, and hereby revoke all former wills made by ~e.
ARTICLE I
I direct that all my legal and enforceable debts, including funeral
expenses, expenses of last illness, and the expense of the administration
of my estate, be paid by my Executrix hereinafter named, as soon after my
decease as may be practical.
ARTICLE II
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my r>roperty, real, l1~~RonN'
and wheresoever situa~d
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I give, devise and be~~at~to
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All the rest, residue, and remainder of
mixed, at whatever time acquired by me,
(hereinafter called residuary estate),
See below
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ARTICLE III
In the event the person named in ARTICLE II shall predecease me, than I
direct that my residuary estate be divided into as many parts or shares as
there are children survivin~ me, and that one part or share be paid over
and distributed to each child. These children are: Douglas Scott Lehmer,
Debra Lynn Devlin, and Eric Todd Lehmer
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ARTICLE IV
I appoint as Executrix, to serve without bond, the person named in ARTICLE II.
I give my Exe9utrix the fullest power and authority in all matters and
~uestions, including complete authority to sell at public or private sale,
for "ca,sh or credit, with or without security, invest, reinvest, mortgage,
to compromise and settle claims, lease pledge, and dispose of all property,
at such times upon such terms and conditions as may be determined, all without
court order.
ARTICLE V
If the person named in Article IV shall predecease me, than I appoint
My daughter Debra Lynn Devlin.
as Exectrix without bond, with full powers as heretofore described.
sign, seal, and declare this
day ofr'7 2.ooL.
7L-~-
(Signature)
IN WITNESS WHEREOF, I hereby
and Testament this II
as my Last Will
Signed, sealed and declared by the Testator as and for this Last Will and
Testament in the presence of us, who at his/ request, in his/her presence,
tier
each other, have S~~~ri;~~ ~it~ep}-9~g:L
~
/ , II
Address.
and in the
t 7 I a l
Witness
")poMAS
1) RVRf
Witness
Address
Suh;crib and Sworn to belore me this
day Of~;;lOO (
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(Otficial Tilla) )
\<1y commission noires
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RENUNCIATION
REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYLVANIA
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Estate of Larry E. Lehmer
\, Jva+c s:- ~h{!
(Print Name)
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, in my capacity/relationship as
ofthe above Decedent, hereby renounce the right to
adm,is:r the Estate of the DecedentJ1:spectfuIlY request that Letters be issued to
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(Date)
(Signature)
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(Street Address)
(od4;f"-<> / 4, g/do /
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purposes stated within on this day
of
Executed in Register's Office
Sworn to or affirmed and subscribed
be~ L~ day
of ;;;06/
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 rev. 10.13.06
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RENUNCIATION
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REGISTER OF WILLS
CUMBERLAND COUNTY, PENNSYL VANIA
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Estate of Larry E. Lehmer
, Deceased
I,
ERIC- l-eHM61Z
(Print Name)
, in my capacity/relationship as
ofthe above Decedent, hereby renounce the right to
SoAJ
administer the Estate of the Decedent and respectfully request that Letters be issued to
D68RA J-'1tJ;J DE.V'-tN
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(Date)
~~-rrl~
(Si ure) ,
;}.30 ~uTtlERt0 Cs if<..
(Street Address)
6VMM6RF"f;/LO Ale ri 7361)
(City, State, Zip) )
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Executed out of Register's Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciati~ for the
purpo es stated w"thin on this 0 \ - day
of , ClOO'+ .
Deputy for Register of Wills
Notary lic I '1
My Commission Expires: ~, J I, J.-O 10\
(Signature and Seal of Notary or other official qualified to
administer oaths, Show date of expiration of Notary's Commission,)
Form RW-06 rev, 10.13.06
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s NOTARY PUIUC
i GUIlfORD COUNTY. He
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OATH OF NON-SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
CUMBERLAND COUNTY , PENNSYLVANIA
Estate of LARRY E. LEHMER , Deceased
IiflJlY//fS e.
DE. (j /-IN
and
(each) being duly qualified according to law, depose(s) and says(s) that she / he / they was / were well-
acquainted with LARRY E. LEHMER and am/are familiar
with the handwriting and signature of the decedent, and that the signature of LARRY E. LEHMER
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of
LARRY E. LEHMER
is in hislher own proper handwriting.
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(Street Address)
0tft /Yl P /-1, c,L-. f};- /70 ((
(City, State, Zip) ./
(Signature)
(Street Address)
(City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
bef~.etbis 4./ day
of 11L~ ,~7 .
Form RW-04 rev. 10.13.06
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OATH OF NON-SUBSCRIBING WITNESS(ES)
CZER OF WILLS
(!lA/}1(~ . COUNTY, PENNSYLVANIA
Estateof ~},},(/
!i6&Y 1/ /Ill ~r ;!/I11/1l-and ,
(each) being duly qualified according to law, depose(s) and say(s) thaG / he / theyQ / were well-
acquainted with LARJ{Jt E_ LEJ( M6 f(?.. and ami. familiar
with the handwriting and sig ature of the decedent, and that the signature of LIJ,e J2. r tC - Lei! /1( E .e..
to the foregoing instrument purporting to be the Last Will and Testament/Codicil of TJ 12/Z.ij ;;
Lef/,lJJEI!:-. is i@erown proper handwriting.
E, :t-~-PV
, Deceased
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61a. !t?.4tt16t: ~ri ~d # ~9
1)~~dd:;8UI!-6-; ~ 170 /'J
(City, State, Zip)
(Signature)
(Street Address)
(City, State, Zip)
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